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NPI 1861482903 · Palmer, AK · Land Ambulance
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Matanuska Susitna Borough is a land ambulance provider located in Palmer, Alaska. This profile covers 5 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Matanuska Susitna Borough |
| Address | 350 E Dahlia Ave |
| City | Palmer |
| State | AK |
| ZIP | 99645 |
| Taxonomy | Land Ambulance |
| NPI Enumerated | October 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $4.2M |
| Medicare | $1.2M |
This entity functions as a land ambulance operator whose billing profile is dominated by basic life support and mileage-based transport services. The presence of A0429 (BLS-emergency), A0428 (BLS non-emergency), A0427/A0433 (ALS levels) and A0425 (ground mileage) as top codes indicates a mixed operational model that performs both emergency and non-emergency transports while routinely billing ground mileage.
The provider’s payer mix is Medicaid-weighted in scale: Total Medicare revenue is $1.2M while Total Medicaid revenue is $4.2M, so Medicaid drives the majority of lifetime revenue. That imbalance makes the provider effectively Medicaid-dominant for scale even though Medicare remains a meaningful contributor to per-claim dollars for select codes.
Medicare revenue is highly concentrated: the precomputed top-3 Medicare codes account for 89.8% of this provider's total Medicare revenue. Those codes are A0429 ($521.5K, 42.0%), A0425 ($313.1K, 25.2%) and A0428 ($281.8K, 22.7%), which indicates heavy reliance on BLS emergency transport, mileage, and BLS non-emergency services for most Medicare receipts.
Medicaid revenue is likewise concentrated with the top 3 Medicaid codes accounting for 87.9% of Medicaid revenue, driven by A0428 ($2M, 48.3%), A0429 ($1.1M, 26.5%), and A0427 ($543.9K, 13.1%). Those three codes’ dominance of Medicaid receipts underscores that in-state demand is centered on BLS non-emergency and emergency transports plus some ALS1 emergency activity.
Competitive standing differs by payer and code: nationally the provider shows above-typical presence on key Medicare lines — A0429 ranks #417 of 7808 providers nationally (95th percentile) and A0425 ranks #679 of 8934 nationally (92th percentile) — while A0428 is more moderate at the 77th percentile. In-state Medicaid ranks place the provider among the top regional players for core services, with A0428 ranking #3 of 23 in-state (91th percentile) and A0429 ranking #3 of 22 in-state (90th percentile), indicating a strong local footprint for BLS transports and mileage.
Payer rate and volume patterns are divergent: average paid per claim is higher on Medicare for emergency BLS (A0429 Medicare avg paid/claim $448 vs Medicaid $144) and higher on Medicare for A0428 as well (Medicare $279 vs Medicaid $171), while ground mileage shows higher average paid/claim on Medicaid for A0425 (Medicare $10 avg paid/claim vs Medicaid $24 avg paid/claim). Claim volumes are weighted toward Medicaid on several high-revenue lines (for example, Medicare A0425 has 31.3K claims while Medicaid A0425 reports 20.4K claims and Medicaid A0428 has 11.7K claims versus Medicare A0428 at 1K claims), so Medicaid supplies larger claim volume even where Medicare yields higher per-claim payments for certain services.
The provider has a long-established enrollment history (NPI enumerated 2005-10-27, ~21 years ago), supporting a sustained operational presence in its market. Lower-volume ALS lines appear limited: Medicare A0433 is small (20 claims, $15.5K, 1.2% of Medicare revenue, 41th percentile) and Medicaid A0426 is minimal (92 claims, $12.1K, 0.3% of Medicaid revenue, 67th percentile), indicating that advanced-life-support level 2 and some non-emergency ALS billing are secondary to the provider’s BLS and mileage business.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 1,160 | $450 | $521.5K |
| A0425 | Ground mileage, per statute mile | 31,310 | $10 | $313.1K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 1,010 | $280 | $281.8K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 210 | $530 | $110.7K |
| A0433 | Advanced life support, level 2 (als 2) | 20 | $770 | $15.5K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
5 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 11,730 | $170 | $2M |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 7,650 | $140 | $1.1M |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 2,920 | $190 | $543.9K |
| A0425 | Ground mileage, per statute mile | 20,410 | $20 | $489.7K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 90 | $130 | $12.1K |
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
5 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | 3 | 20 | 2,190 | $200 | $854.1K |
| A0429 | Ambulance service, basic life support, emergency transport (bls-emergency) | 3 | 20 | 1,410 | $80 | $387.6K |
| A0427 | Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) | 5 | 20 | 850 | $70 | $352.9K |
| A0426 | Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) | 3 | 10 | 90 | $70 | $103.1K |
| A0425 | Ground mileage, per statute mile | 3 | 30 | 3,170 | $10 | $67.5K |
Other providers in the same ZIP code as Matanuska Susitna Borough, ranked by combined Medicare and Medicaid revenue.
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